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NPI Code Detail

MEDICARE: HEALING HEARTS THERAPEUTIC SERVICES, PLLC

MEDICARE: HEALING HEARTS THERAPEUTIC SERVICES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC010933NC
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1801381330
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HEARTS THERAPEUTIC SERVICES, PLLC
Provider Business Mailing Address
First Line : 7489 ROCKFISH RD
Second Line :
City : RAEFORD
State : NC
Zip : 28376-6131
Country : US
Telephone Number : 727-798-7873
Fax Number : 833-260-0543
Provider Business Practice Location Address
First Line : 7489 ROCKFISH RD
Second Line :
City : RAEFORD
State : NC
Zip : 28376-6131
Country : US
Telephone Number : 727-798-7873
Fax Number : 833-260-0543
Authorized Official
Title or Position : CEO/OWNER
Name : ANDREA LEE ABBOTT
Credential : MSW, LCSW, RPT-S
Telephone Number : 727-798-7873
Provider Enumeration Date : 06/27/2018
Last Update Date : 03/10/2026

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